Individual
KAYCE LEE KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
814 S WOODROW ST, COLUMBIA, SC 29205-4442
(980) 322-8653
Mailing address
814 S WOODROW ST, COLUMBIA, SC 29205-4442
(980) 322-8653
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
258348
SC
367500000X
Certified Registered Nurse Anesthetist
147266
NC
367500000X
Certified Registered Nurse Anesthetist
Primary
7220
NC
Other
Enumeration date
06/06/2021
Last updated
07/05/2023
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